加强烧伤创面处理是防治并发症的重要措施  

Enhancing treatment of burn wounds is an important measure for prevention and treatment of complications

作　　者：黄跃生[1] 

机构地区：[1]第三军医大学西南医院全军烧伤研究所、创伤、烧伤与复合伤国家重点实验室,重庆400038

出　　处：《中华烧伤杂志》2014年第3期191-193,共3页Chinese Journal of Burns

基　　金：国家重点基础研究发展计划（2012CB518101）;卫生部卫生行业科研专项（201202002）

摘　　要：创面修复是烧伤治疗的永恒主题，创面是烧伤炎症介质的主要来源之一，烧伤痂下组织和水肿液含有大量炎症介质，焦痂还含有“烧伤毒素”，是引起脏器损害的重要因素。能否有效加速烧伤创面的修复，是影响烧伤治愈率和治疗质量的关键问题。Burn wound repair is an eternal issue forburn treatment, Ischemia and hypoxia caused by stress and wound inflammatory reactions to burn injuries are key factors of sepsis and organ complieations. Therefore, the treatment of burnwound is not only relevant to repair of burn wound ilself; early extensive escharectomy and wound coverage are also importantmeasures for prevention and treatment of complications, such as epsis and organ dysfunction. Besides the good vital supportive treatment such as circulation maintenance, coverage of open wounds wilh reliable skin substitutes is also the key point to ensure success of early extensive escharectomy.

关 键 词：烧伤 伤口愈 缺血 缺氧 炎症 脓毒症 早期大面积切痂 脏器并发症 

分 类 号：R644[医药卫生—外科学]